Hasil Pencarian  ::  Simpan CSV :: Kembali

"Studi ini bertujuan untuk mempelajari pengaruh keterlibatan suami terhadap pemanfaatan penolong persalinan tenaga kesehatan menggunakan data 6.425 wanita usia subur berusia 15-49 tahun yang menikah/hidup bersama dan mempunyai anak yang lahir terakhir dalam masa survei SDKI 2012. Hasil regresi logistik biner menunjukkan bahwa keterlibatan suami memiliki pengaruh signifikan terhadap pemanfaatan penolong persalinan tenaga kesehatan. Ditemukan pula bahwa faktor-faktor terkuat yang mempengaruhi pemanfaatan penolong persalinan tenaga kesehatan adalah tempat tinggal, pendidikan suami, dan kehadiran suami saat antenatal care. Salah satu variabel yang menunjukkan akses, yaitu jarak ke fasilitas kesehatan, juga memiliki pengaruh yang signifikan terhadap pemanfaatan penolong persalinan.

---

This study aims to analyze the influence of husband's involvement on skilled birth attendants (SBA) utilization using the data of 6,425 married/cohabiting women at reproductive age from IDHS 2012. The results of binary logistic regression show that the involvement of husbands have significant influence on the SBA's utilization. It is also found that the strongest factors influencing the utilization of SBA are residence, husband?s education, and the presence of husband during antenatal care. One variable that indicates access, which is the distance to health facilities, also has significant influence on the utilization of SBA."

"Latar Belakang: Preeklamsia merupakan masalah penting yang dapat menyebabkan morbiditas dan mortalitas maternal dan perinatal. Preeklamsia berhubungan dengan stres oksidatif pada sirkulasi maternal. Preeklampsia merupakan hasil dari ketidakseimbangan antara produksi radikal bebas dengan antioksidan sehingga terjadi reaksi inflamasi berlebihan pada kehamilan yang berakibat disfungsi endotel. Antioksidan dan inflamasi dalam tubuh ditentukan oleh status gizi ibu dan bayi yang dapat dinilai dari kadar serum ibu seperti zink, selenium, besi dan tembaga. Tujuan: Diketahuinya perbedaan kadar zink, selenium, besi dan tembaga dalam serum maternal dan tali pusat pada preeklamsia. Metode: Penelitian ini merupakan studi potong lintang dengan jumlah sampel 35 yang melakukan persalinan di RS Cipto Mangunkusumo. Setelah itu data disajikan dalam tabel dan dianalisis dengan uji T berpasangan dan uji Wilcoxon. Penelitian ini sudah lolos kaji etik dan mendapat persetujuan pelaksanaan dari Komite Etik Penelitian Kesehatan FKUI-RSCM. Hasil: Kadar rerata zink pada serum maternal dan tali pusat adalah 43,17 11,07 g/dl dan 86,66 25,54 g/dl dengan selisih rerata -43,49 27,83, nilai p

---

Background: Preeclampsia is a significant health problem and is the leading cause of maternal and perinatal mortality and morbidity. Preeclampsia is associated with oxidative stress in the maternal circulation. Preeclampsia was a manifestation of the free radical and antioxidant imbalance resulting inflammation and endothelial dysfunction. Antioxidant dan inflammation was determined by nutrition status that measured in maternal and fetal serum such zinc, selenium, iron and copper.

Objective: Investigate the mean difference of zinc, selenium, iron and copper in maternal serum and fetal umbilical cord in pregnancy with preeclampsia.

Methods: This was a cross sectional study enrolled 35 preeclampsia patients pregnancy visiting Cipto Mangunkusumo Hospital. Data was presented in table and was analyzed by paired T test and Wilcoxon test. This study had been granted ethical clearence and approved by Ethical Committee for Health Research Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital.

Result: The zinc maternal level and fetal umbilical cord were 43,17 11,07 g dl and 86,66 25,54 g dl, p "

"Angka Kematian Bayi merupakan salah satu indikator pembangunan suatu bangsa. Kematian neonatal (0-28 hari) menyumbang lebih dari setengah (59,4%) kematian bayi. Berdasarkan data SDKI 2012 angka kematian neonatal mengalami penurunan sebesar 41% dari 32/1000 kelahiran hidup pada tahun 1991 menjadi 19/1000 kelahiran hidup pada tahun 2007. Namun pada dua periode terakhir angka kematian neonatal stagnan di angka 19/1000 kelahiran hidup pada tahun 2007 dan 2012. Salah satu faktor yag dapat meningkatkan kematian neonatal adalah jarak kelahiran. Penelitian ini bertujuan untuk mengetahui jarak kelahiran yang berkontribusi dan hubungannya terhadap kejadian kematian neonatal. Penelitian ini merupakan analisis data Survei Demografi dan Kesehatan Indonesia (SDKI) 2012. Desain penelitian yang digunakan adalah kasus kontrol dengan sampel sebanyak 102 kasus dan 306 kontrol. Kasus adalah bayi yang mengalami kematian neonatal dan merupakan anak terakhir pada persalinan tunggal. Dan kontrol adalah bayi yang hidup melewati usia 28 hari. Hasil analsis multivariat dengan menggunakan uji regresi logistik , didapatkan adanya perbedaan risiko yang signifikan untuk terjadinya kematian neonatal antara ibu dengan jarak kelahiran < 27 bulan dan jarak kelahiran > 78 bulan dibandingkan dengan jarak kelahiran 28-77 bulan. Ibu yang memiliki jarak kelahiran <27 bulan memiliki risiko 2,2 kali (95%CI : 1,274- 3,822) mengalami kematian neonatal dibandingkan ibu dengan jarak kelahiran 28-77 bulan. Risiko juga meningkat bila jarak kelahiran >78 bulan,, ibu dengan jarak kelahiran >78 bulan memiliki risiko untuk mengalami kematian neonatal sebesar 1,95 kali (95% CI : 1,126-3,368) bila dibandingkan dengan jarak kelahiran 28-77 bulan.

---

Infant Mortality Rate is one of development indicator from a nation. Neonatal mortality (0-28 days) accounts for more than half (59.4%) of infant mortality. Based on the 2012 IDHS data the neonatal mortality rate decreased by 41%, from 32/1000 live births in 1991 to 19/1000 live births in 2007. But in the last two periods, there are stagnant condition of neonatal mortality rate, which is 19/1000 live births in 2007 and 2012. One of the factors that can increase neonatal mortality is birth spacing.

This study aims to know the relationship between birth spacing and the incidence of neonatal death. This research is an analysis of data of Indonesia Demographic and Health Survey (SDKI) 2012. The research design is using case control study with the number of sample are 102 cases and 306 controls. Cases are infants who have neonatal death and the last child in a single labor. And control is a baby that lives past the age of 28 days.

Multivariate analysis is using logistic regression showed that there was a significant difference of risk for neonatal mortality between mothers with birth spacing <27 months and birth spacing of > 78 months compared with 28-77 month of birth spacing. Mothers with birth spacing <27 month had a 2.2 times (95% CI: 1,274-3,822) risk of neonatal mortality compared to mothers at 28-77 months of birth spacing. The risk also increased when birth spacing is > 78 months, mothers with birth spacing > 78 months had a risk of neonatal deaths of 1.95 times (95% CI: 1,126-3,368) compared with 28-77 months of birth spacing."

"[Tujuan penelitian ini adalah mengetahui hubungan pemberdayaan perempuan, utilisasi layanan kesehatan dengan kematian perinatal di Indonesia tahun 2012. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross sectional menggunakan data sekunder SDKI 2012. Sampel penelitian ini adalah semua WUS yang (15 ? 49 tahun) yang pernah melahirkan dalam kurun waktu lima tahun terakhir sebelum survei pada data SDKI 2012. Hasil penelitian menunjukan bahwa tidak ada hubungan antara pemberdayaan perempuan dengan kematian perinatal. Ada hubungan antara Utilisasi layanan kesehatan dengan kematian Perinatal. variabel lain yang signifikan mempengaruhi kejadian kematian perinatal adalah pendidikan, status ekonomi, jumlah kelahiran, komplikasi kehamilan dan komplikasi persalinan. Faktor yang paling berpengaruh terhadap kejadian perinatal adalah variabel utilisasi layanan kesehatan buruk pada kelompok status ekonomi rendah dengan Odds ratio

---

The purpose of this study was determine the correlation of womens Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21-9.12). The purpose of this study was determine the correlation of women?s Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15-49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the womens empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12)., The purpose of this study was determine the correlation of women’s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 – 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women’s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 – 9.12).]"

"[ABSTRACTKehamilan dengan jarak terlalu dekat merupakan salah satu faktor tidak langsung kematian ibu. Alat kontrasepsi yang dianjurkan untuk wanita yang ingin menjarangkan kehamilan yaitu Intra Uterine Device (IUD) yang merupakan metode kontrasepsi non hormonal dan lebih efektif dibanding MKJP lainnya. Namun, penggunaannya di Indonesia terus menurun. Penelitian dilakukan untuk mengetahui determinan penggunaan alat kontrasepsi IUD pada akseptor KB yang ingin menjarangkan kehamilan. Penelitian menggunakan desain studi cross sectional dan data SDKI Tahun 2012. Kriteria inklusi penelitian adalah WUS yang ingin menjarangkan kehamilan dan menggunakan kontrasepsi saat survei. Hasil penelitian menunjukkan bahwa pendidikan merupakan faktor dominan terhadap penggunaan IUD pada akseptor KB yang ingin menjarangkan kehamilan. Faktor-faktor yang berhubungan signifikan terhadap penggunaan IUD adalah status ekonomi, pengetahuan KB, pengambilan keputusan KB, dan tempat pelayanan, sedangkan umur dan wilayah tempat tinggal sebagai variabel konfounding. Oleh karena itu, penguatan komunikasi, informasi, dan edukasi (KIE) tentang IUD kepada wanita dan pasangan, sosialisasi pelayanan IUD gratis pada golongan ekonomi bawah diperlukan sebagai upaya wanita yang ingin menjarangkan kehamilan berkenan menggunakan IUD.

---

ABSTRACT

;Pregnancy distance which too close is one of the indirect factors for maternal mortality. Contraception methode that recommended for women who wants spacing their pregnancy is Intra Uterine Device (IUD). IUD is a non-hormonal contrapcetion methode and more effective than the other long-term contraception methodes (MKJP). However, the use in Indonesia continues to decline. The study was conducted to determine IUD use of family planning user who wants spacing pregnancy. The study uses cross-sectional study design and the data Indonesia Demographic and Health Survey 2012. The study has an inclusion criteria which reproductive age women who wants spacing pregnancy and using contraception when the survey was conducted. Results showed that education is dominant factor for IUD use of family planning user who wants spacing pregnancy. Others factors that associate significantly for IUD use are economy level, knowledge about family planning, decision maker for family planning, and family planning service provider, while age and region as confounding variable. Therefore, strengthened communication, informastion, and education (KIE) about IUD for women and her partner, socialization of free IUD services for low level economy required in order to raise IUD use of women who wants spacing pregnancy.

, Pregnancy distance which too close is one of the indirect factors for maternal mortality. Contraception methode that recommended for women who wants spacing their pregnancy is Intra Uterine Device (IUD). IUD is a non-hormonal contrapcetion methode and more effective than the other long-term contraception methodes (MKJP). However, the use in Indonesia continues to decline. The study was conducted to determine IUD use of family planning user who wants spacing pregnancy. The study uses cross-sectional study design and the data Indonesia Demographic and Health Survey 2012. The study has an inclusion criteria which reproductive age women who wants spacing pregnancy and using contraception when the survey was conducted. Results showed that education is dominant factor for IUD use of family planning user who wants spacing pregnancy. Others factors that associate significantly for IUD use are economy level, knowledge about family planning, decision maker for family planning, and family planning service provider, while age and region as confounding variable. Therefore, strengthened communication, informastion, and education (KIE) about IUD for women and her partner, socialization of free IUD services for low level economy required in order to raise IUD use of women who wants spacing pregnancy.

]"

"Angka Kematian Perinatal (AKP) merupakan salah satu indikator yang dapat digunakan dalam menilai derajat kesehatan suatu bangsa. Hal ini dikarenakan kematian perinatal menyumbang angka yang cukup tinggi terhadap Angka Kematian Bayi (AKB). Di Indonesia, tidak terjadi penurunan AKP dalam sepuluh tahun terakhir (2002-2012). Desain yang digunakan pada penelitian ini adalah studi potong lintang. Penelitian menggunakan data sekunder SDKI 2012 dengan teknik penarikan sampel cluster sampling tiga tahap. Sampel yang diambil berjumlah 15.430 responden dengan 1.420 responden mengalami kematian perinatal dan 14.010 responden lahir hidup dan tidak mengalami kematian neonatal dini. Hasil penelitian menunjukkan bahwa terdapat hubungan antara pendidikan, umur, paritas, komplikasi kehamilan, komplikasi persalinan, prematur, berat bayi, IMD, dan kunjungan antenatal ibu dengan kematian perinatal. Komplikasi persalinan merupakan faktor risiko yang paling tinggi dalam menyebabkan kematian perinatal.

---

Perinatal Mortality Rate (PMR) is one of the indicators that can be used in assessing health status of a nation. This is because perinatal mortality is quite high contributed to Infant Mortality Rate (IMR). In Indonesia, there is no deriving of PMR in last ten years (2002-2012).

The design used in this research was cross sectional study. This research used secondary data of IDHS 2012 with three stage cluster sampling technique. Samples taken were 15.340 respondents with 1.420 respondents experiencing perinatal death and 14.010 respondents were born alive and did not experience early neonatal death.

The results showed that there is association between maternal education, age, parity, pregnancy complication, delivery complication, premature, birth weight, early initiation of breastfeeding, and frequency of antenatal visits with perinatal mortality. Delivery complication is the highest risk factor in affecting perinatal mortality."

"Persalinan dengan tenaga kesehatan dapat menurunkan Angka Kematian Ibu. Cakupan persalinan dengan tenaga kesehatan di Indonesia sudah mencapai 87,1. Akan tetapi, masih di bawah target Kemenkes 2013 dan terdapat perbedaan cakupan di berbagai provinsi. Penelitian ini bertujuan untuk mengetahui hubungan kunjungan ANC sesuai standar dengan pemilihan tenaga kesehatan sebagai penolong persalinan. Desain penelitian adalah cross-sectional. Sampel merupakan sampel pada Survei Demografi dan Kesehatan Indonesia SDKI tahun 2012, yaitu ibu usia 15-49 tahun berstatus menikah yang melahirkan anak lahir hidup setahun sebelum survei sejumlah 2.986 responden. Data dianalisis dengan regresi logistik. Hasil penelitian menunjukkan bahwa hampir semua ibu memilih tenaga kesehatan sebagai penolong persalinan 93,9 . Hubungan kunjungan ANC sesuai standar dengan pemilihan tenaga kesehatan sebagai penolong persalinan berbeda menurut wilayah tinggal, ibu yang melakukan K4 dan mendapatkan pelayanan 7T lengkap memiliki peluang paling besar untuk memilih tenaga kesehatan sebagai penolong persalinan dibandingkan dengan ibu yang tidak melakukan K4 dan tidak mendapatkan pelayanan 7T lengkap. Usia, tingkat pendidikan, pengambil keputusan, kuintil indeks kekayaan, paritas, komplikasi, kepemilikan asuransi, dan perencanaan persalinan merupakan confounder.

---

Delivery with skilled birth attendants SBAs can lower maternal mortality rates. By 2013, the utilization of SBAs in Indonesia had reached 87.1 . However, the utilization of SBAs in 2013 was still below the target of the Ministry of Health, and there were gaps in utilization across provinces. The aim of this study was to determine the association of standardized antenatal care ANC with the utilization of SBAs.

The study design was cross sectional. The study sample consisted of respondents N 2,986 to the 2012 Indonesia Demographic and Health Survey IDHS i.e., married women aged 15 ndash 49 years who had a live birth a year prior to the survey. The data were analyzed by logistic regression.

The results showed that almost all women 93.9 utilized SBAs. The association of standardized ANC with the utilization of SBAs differed according to region, with women who attended four ANC visits and received the full complement of ANC services having the greatest opportunity to choose health workers as birth attendants as compared with women who did not attend all ANC visits and did not receive all components of ANC services. Age, education level, joint decision maker, wealth index quintile, parity, pregnancy and delivery related complications, insurance, and birth preparedness were confounders."

"ABSTRAKPendahuluan. Status kehamilan tidak diinginkan menjadi perhatian pentingkarena kehamilan tidak diinginkan dapat mempengaruhi kesehatan ibu dan bayiyang akan dilahirkannya.Tujuan Penelitian. Penelitian ini bertujuan untuk mengetahui gambaran danpengaruh dari kehamilan tidak diinginkan terhadap perilaku ibu selama kehamilandan setelah kelahiran pada beda status ekonomi.Metode Penelitian. Penelitian ini adalah penelitian kuantitatif denganmenggunkan data sekunder dari Survei Demografi Kesehatan Indonesia (SDKI)tahun 2012. Populasinya adalah wanita usia 15-49 tahun yang pernah hamil danmelahirkan dalam lima tahun terakhir saat survei dilakukan dengan sampelsebanyak 11.742 responden.Hasil Penelitian. Hasil analisis multivariabel menunjukkan bahwa ibu yangmengalami kehamilan tidak diinginkan mempunyai peluang untuk tidakmelakukan perawatan kehamilan sebanyak 1,79 dibandingkan kehamilandiinginkan, sedangkan ibu yang mengalami kehamilan tidak diinginkanmempunyai peluang yang sama dengan kehamilan diinginkan terhadap perilakuuntuk tidak memberikan ASI eksklusif dan tidak memberikan imunisasi dasarlengkap. Hasil analisis stratifikasi regresi logistik multivariabel menunjukkanbahwa pengaruh status kehamilan tidak diinginkan terhadap perilaku perawatankehamilan, pemberian ASI eksklusif dan pemberian imunisasi dasar lengkap jugadipengaruhi oleh status ekonomi.Kesimpulan. Pentingnya mencegah kehamilan tidak diinginkan untukmeningkatkan kesehatan ibu dan bayi.

---

ABSTRACTIntroduction. The status of unwanted pregnancy became an important attentionbecause unwanted pregnancy may influence the health of mother and their baby.Objective. To describe and study the effect of unwanted pregnancies on thebehavior of the mother during pregnancy and after birth at different economicstatus.Methods. This study is a quantitative study using secondary data from IndonesianDemographic and Health Survey (IDHS). The population is women aged 15-49years who had pregnant and given birth in the last five years when the survey wasconducted with a sample of 11.742 respondents.Results. The analysis show that the mothers who experienced an unwantedpregnancy have the odds to no prenatal care as much as 1.79 compared to thedesired pregnancy, whereas mothers who experienced an unwanted pregnancyhave the same odds with the desired pregnancy to behavior to not giving exclusivebreastfeeding and not giving complete basic immunizations. Stratifiedmultivariable logistic regression shows that the influence of unwanted pregnancytowards prenatal care, exclusive breastfeeding and complete basic immunizationwas also influenced by economic status.Conclusion. The importance of preventing unwanted pregnancy to improvematernal and infant health."

"Program Jampersal diluncurkan di Indonesia mulai Januari tahun 2011 berdasarkan Permenkes No.631/Menkes/PER/III/2011 bertujuan untuk meningkatkan cakupan pemeriksaan kehamilan, pertolongan persalinan, pelayanan nifas, bayi baru lahir, dan keluarga berencana oleh tenaga kesehatan secara cuma-cuma. Setelah lebih satu tahun program Jampersal berjalan, angka ANC yang memanfaatkan Jampersal masih sangat rendah. Metode: Penelitian kuantitatif dan kualitatif tentang faktor sosial budaya dalam kaitannya dengan pemilihan tenaga kesehatan dengan memanfaatkan Jampersal dilakukan pada tahun 2012 yang kemudian diikuti dengan Round Table Discussion untuk mengkaji opsi kebijakan terkait pemanfaatan Jampersal terutama pada 6 kecamatan di perdesaan. Hasil: Opsi kebijakan yaitu kegiatan sosialisasi Jampersal perlu ada Komitmen Lintas Sektora. Komitmen: Kementerian Dalam Negeri, Kementerian Agama, dan BKKBN, diikuti dengan komitmen politik yang jelas dan tegas. Kemitraan bidan dengan dukun dan kader secara aktif mensosialisasikan jampersal. Bidan Puskesmas dilarang berpraktek swasta, namun total besaran kompensasi bidan puskesmas yang menolong persalinan disesuaikan. Perlu Perda yang mengatur pembatasan persyaratan dan prosedur Jamkesmas, jamkesda, jampersal; Kerjasama antara puskesmas dengan kecamatan dan kepala desa untuk lebih mempertegas persyaratan KTP; Biaya transportasi; Pelayanan dukun (pembagian tugas, biaya) serta pembatasan pembiayaan persalinan yaitu anak kedua atau anak ketiga. Perlu disusun Perdes tentang reward dan punishment bagi dukun dan kader terkait keterlibatan mereka membantu pelayanan kehamilan/persalinan dengan Nakes; Tugas mencatatkan informasi ibu hamil di Papan kantor Kades. MoU Dinkes dengan IBI tentang pendekatan budaya dan on the job training penting dilakukan. Kesimpulan: Pendekatan berbasis budaya memiliki peran penting dalam meningkatkan persalinan oleh tenaga kesehatan di perdesaan. Saran: Perlu dilakukan prioritas kebijakan jangka pendek dan jangka panjang."

"Komplikasi persalinan merupakan penyebab langsung kematian maternal yang sebenarnya dapat dicegah melalui perawatan kehamilan yang baik. Peningkatan cakupan pemeriksaan kehamilan yang tidak diikuti dengan menurunnya komplikasi persalinan karena para ibu hamil belum sepenuhnya mendapatkan pelayanan yang sesuai standar. Tujuan penelitian ini untuk mengetahui hubungan antara perawatan kehamilan dengan komplikasi persalinan pada ibu di Indonesia. Penelitian ini merupakan studi analitik menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dengan desain cross-sectional. Sampel penelitian yaitu semua perempuan usia 15-49 tahun yang pernah melahirkan anak hidup maupun mati, tercakup dalam rumah tangga yang disurvei di 33 propinsi di Indonesia yang memenuhi kriteria sampel penelitian sebanyak 11.803 responden. Variabel yang diteliti adalah komplikasi persalinan, perawatan kehamilan, umur ibu saat melahirkan, pendidikan, paritas, jarak kelahiran, penolong persalinan, tempat persalinan, riwayat komplikasi kehamilan, riwayat komplikasi persalinan sebelumnya dan kehamilan kembar. Analisis menggunakan regresi logistik ganda. Hasil penelitian menunjukkan prevalensi kejadian komplikasi persalinan di Indonesia antara kurun waktu tahun 2007-2012 sebanyak 49,2% dan prevalensi perawatan kehamilan yang buruk tidak sesuai standar sebanyak 91,2%. Ibu dengan perawatan kehamilan yang buruk berisiko 1,3 kali lebih tinggi mengalami komplikasi persalinan dibandingkan dengan ibu dengan perawatan kehamilan baik (OR: 1,3, 95% CI: 1,14-1,49).

---

The complication that appears during delivery is the direct cause of maternal death which could be prevented through a better antenatal care. Improved antenatal coverage was not followed by decline of delivery complication since mothers/pregnant women has not been fully obtained adequate standard services. The purpose of this study to analyze the relationship between antenatal care with childbirth complications on mothers in Indonesia. This research is an analytical study uses data of Indonesia Demographic and Health Survey (IDHS) at year 2012 with cross-sectional design study. The research sample was all women aged 15-49 years who had given birth the child alive or dead, is included in the households surveyed in 33 provinces in Indonesia that meet the criteria of the study sample as many 11.803 respondents.

Variables studied are childbirth complications, antenatal care, maternal age in childbirth, education, parity, preceding birth interval, birth attendence, place of delivery, a history of pregnancy complications, previous history of childbirth complications and multiple pregnancies. Analysis using multiple logistic regression. Results showed the prevalence of childbirth complications on mother's in Indonesia between the period of 2007-2012 as much as 49.2% and the prevalence of poor antenatal care (is not according to standards) as much as 91.2%. Mothers with poor antenatal care were 1,3 times higher risk for complications of childbirth compared with women with good antenatal care (OR: 1.3, 95% CI: 1.1 to 1.4)."